2001-10-23_REVISION - M1997084

• Permit No: M1997084
• IBM Index Class Name: Revision
• Doc Date: 10/23/2001
• Doc Name: Succession of Operators
• From: Horizon Ranch LLP
• To: DMG
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
street:
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UM oy. ~ S
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~~ Zip Code: -~ N
Telephone: ~~3 C~~Q
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City: 'o i/V~G y
-~
State: / L~ X ~S Zip Co/de/:L 7 !~//.~ 6
Area Code: ~_ Telephone: SAY ~ f~l06g
IRS Tax ID No. or Social Security No.: ~~ ,?'/O ~f ~/ D
5. Aaolication Fee: $100.00 for Hard Rock operations; $125.00 for Constmction Materials
operations
Make check payable [o the Division of Minerals and Geology